Address for Correspondence: Guljan Abakirova, Clinical Hospital of the Office of President and Government of Kyrgyz Republic, Bishkek, Kyrgyzstan
I read with interest article by Yakovlev et al. Multimodality imaging of a left ventricular mass (1, 2) published in Heart, Vessels and Transplantation. Authors suggested that left ventricular (LV) mass might be either papillary fibroelastoma or myxoma.
I had similar patient older than 65 years old with myxoma with peduncule in right ventricle. I think that the LV mass in the presented quiz is a myxoma. The structure of mass, in my opinion, is soft, jelly-like, cellular, easily changes shape when LV contracts. It seemed to be on a peduncule, originating from the apex, from the top, although I definitely cannot be certain. The local and global contractility of LV is preserved, which is also speaks not for a thrombus.
And, lastly, is it worth pointing out, mine many years of experience and practical observation of patients with myxoma and LV thrombosis, says more for myxoma.
Clinical Hospital of the Office of President and Government of Kyrgyz Republic, Bishkek, Kyrgyzstan
Conflict of interest: None to declare
Acknowledgments and funding: None to declare
Pacific Ocean, November 2021. Alexander Lyakhov, Vladivostok, Russia